IPDRG / CDI Coder Clinical Documentation Improvement

IPDRG / CDI Coder Clinical Documentation Improvement Candidate Application: Full Name: Contact Number: Email Address: Current Location: Position Applied For: Qualification: Year of Passout: Candidate Category: Fresher / Experienced Willingness to Relocate: Yes / No Total Years of Experience: (If applicable) Current/Last Drawn Salary (Monthly/Annual): Notice Period: Job Description: Responsibilities: Thorough Inpatient Chart Review: Examine intricate, multi-day inpatient electronic health records (EHR) to decipher copious clinical data, test findings, and imaging reports. ICD-10-CM & PCS Code Assignment: To record all primary diagnoses, secondary diagnoses, co-morbidities, and significant complications, assign precise ICD-10-CM diagnostic codes and ICD-10-PCS procedural codes. DRG Calculation & Validation: To determine the best and most accurate MS-DRG or APR-DRG assignment, maximize provider compliance, and optimize genuine revenue, validate the major diagnostic selection. Clinical Documentation Improvement (CDI) Collaboration: Examine charts in real time or in the past with CDI Specialists, spotting unclear or lacking documentation and creating clear, non-leading doctor inquiries. CC/MCC Capturing: To make sure the record accurately depicts the patient's actual level of illness, identify and separate Complications or Comorbidities (CC) and Major Complications or Comorbidities (MCC). Required Skills: Advanced ICD-10-CM/PCS Literacy: Proficiency in the Official Guidelines for Coding and Reporting for both complex inpatient surgical procedures and inpatient diagnoses at the expert level. DRG Grouping Engine Mastery: In-depth structural understanding of MS-DRG and APR-DRG logic, including how case-mix indexes and final relative weights are affected by sequencing and secondary circumstances. Clinical Anatomy & Pathophysiology Depth: Excellent clinical knowledge of human disease processes, pharmacology, and sophisticated surgical techniques to identify disorders that are absent or poorly documented. Encoder Software Fluency: Expertise with specialist hospital encoding systems, including TruCode, Optum Enterprise Encoder, and 3M 360 Encompass. Physician Query Engineering: The ability to create written clarification questions for attending doctors that are extremely professional, compliant, and structurally accurate. Experience: 3+ yrs Salary: Best in the Industries Immediate Joiner Mostly Preferred Interested Candidates Contact the HR ASAP Warm Regards, HR - Maria